Small, reptilian creatures that thrive in Silent Hill's underground waterways. The strange radio that Harry Mason finds at the beginning of his adventure won't pick up any static when Hanged Scratchers are nearby, but their claws make a distinctive clicking noise, when they walk on hard surfaces, that is easily recognized. These monsters can be encountered alone, in small groups, or in the company of Mumblers/Clawfingers and Creepers.

While it is not uncommon to encounter Hanged Scratchers hunting on the ground, they are at their most dangerous when the unseen stalkers are planning an ambush. The dextrous reptiles frequently climb about, almost soundlessly, in the overhead pipework, concealed in shadows. When a potential meal draws near, the Hanged Scratcher suddenly lashes downwards with it long arms to snatch at the victim (which, as you may well guess, is how they gained their namesake). Mimicking a favorite hunting practice of alligators and crocodiles, Hanged Scratchers have also been known to suddenly burst forth from pools of water, where they have been lying concealed, totally submerged except for the very top of their heads, to strike at unsuspecting prey.